Registration for Biomedical Informatics Grad Program Open House

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* 1. Will you be attending this event?

Yes

No

Other (please specify)

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* 2. What is your first name?

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* 3. What is your last name?

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* 4. What is your email address?

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* 5. What is your program interest?

PhD

Graduate Certificate

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* 6. What is your ideal program start date?

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* 7. What is your current position?

Undergraduate student

Graduate student

Cincinnati Children's Employee

University of Cincinnati Employee

Other (please specify)

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* 8. If you are a current student, please list the program(s) you are enrolled in.

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* 9. Please list any dietary restrictions for breakfast, if applicable.